Champaign Residential Services Inc
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Tiffin, OH
NPI 1871964650 · NPPES record last updated Oct 19, 2015
Key facts
- NPI
- 1871964650
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- CHAMPAIGN RESIDENTIAL SERVICES INC
- Practice address
- 12 Orchard Park
Tiffin, OH 44883 - Phone
- (937) 653-1320
- Fax
- (937) 653-1321
- NPI assigned
- Oct 19, 2015
- Organization subpart
- No
Authorized official
- Name
- Scott A Delong
- Title
- President
- Phone
- (937) 653-1320
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Champaign Residential Services Inc
Locations
1150 Scioto St
Urbana, OH 43078
Phone (937) 652-4555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | OH | Yes |
Addresses
Primary practice location
12 Orchard Park
Tiffin, OH 44883
Mailing address
1150 Scioto St
PO Box 29
Urbana, OH 43078-2289
Phone (937) 653-1320
Other names
- CRSI
Other providers in Tiffin, OH
- Jorge Cepeda
- Gabrielle Mackenzie Cesareo
- Logyn Chamberlin
- Linda Chambers
- Thomas Joseph Chambers
- Champaign Residential Services, Inc
- Champaign Residential Services, Inc.
- Checker Emergency Physicians, LLC
- Cary Michelle Cheek
- Saralyn Chickos-Scherley
All providers in Tiffin, OH · Intellectual Disabilities Intermediate Care Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.